Laserfiche WebLink
B. J. PPI 1 � • <br />� ]� � � � <br />YI. O. fORM ] yn <br />CITY OF EVERETT--Water��ept. <br />Application No,/_�::P�'.:�.... Date ...........:..'.::.<..�:..,:."'.�:.............19.::.y <br />_ ,� �. <br />Install.....:._:� ..................mch water scrvice pipe <br />; , <br />For .:� �r.r..:....::::Gri::r..=..lr..e:.-..�-:.�' ............................................... <br />...... ...... . <br />� <br />,i� ?..r.J.4.f..._�...,.4��::.r...<��_;i.- ........................... Street <br />On ..:............... <br />T.�� --- ............................ Block No..................................... <br />Addition.......................................................................................................... <br />, , <br />i �1c...� �GLL.. C..� ... ..c� - "�%!f- :.:...::................ <br />Remarks ..<..I.r ................................:.:. � :......... .__...... <br />...................... ��"..�...._. _... _..............._.... _........................_.._...._.... <br />....................... <br />, ► �- r'--..�� .:::............................................................._.-------... <br />� � ►; r � U �' , <br />�...__,».195`�......;11........_ .............................................t.:.s P�v�iena�t.. <br />apR� �n`:...i Jl% c. ) <br />LABOR AND MATERIAL USED <br />No. Size <br />-- <br />---- <br />..................................._................. Lead Connection Complete <br />........... 1 . Sadd�e Completc <br />�..... /... ......� ................ <br />.........,.'...C2.... .....- ....................I ;.,.41/!. �. �..'............._......_....................._....PiPe <br />................1............�.:,c, :r.-..�.:'�' �Scrvicc Cock <br />.........................� Service Box <br />No. Fiours Latwr ..............................................i:osc.................................................... <br />Cutin ....................Yavcment....................X........................ ........................Sq. Ft. <br />�c � e v� z"G,a/i: I . ....................x........................ ......._............... „ <br />� _ � � _ � � ....................�:........................ ....................._. „ <br />............x ....................... ........................ „ <br />Tolal .........._..._.......Sq Fl. <br />— ------ <br />. . ...... `_ � <br />Remarks ............... i.....:.:. <br />_ ........ ....... _..................... JL._...: <br />OrderReceieed_ ....................................._................._......._....._..__............ <br />\Vork Complcted.:..........'_ ......:.....:..................._.....�._...__........:...:;._... <br />Foreman / <br />